Provider Demographics
NPI:1720285299
Name:RAMOS, MINETTE GELLA (DMD)
Entity Type:Individual
Prefix:DR
First Name:MINETTE
Middle Name:GELLA
Last Name:RAMOS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:CARMINA
Other - Middle Name:GELLA
Other - Last Name:RAMOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:2350 SEPULVEDA BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90501-4333
Mailing Address - Country:US
Mailing Address - Phone:310-539-9155
Mailing Address - Fax:310-539-3555
Practice Address - Street 1:2350 SEPULVEDA BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90501-4333
Practice Address - Country:US
Practice Address - Phone:310-539-9155
Practice Address - Fax:310-539-3555
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA390701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice